Healthcare Provider Details

I. General information

NPI: 1104101054
Provider Name (Legal Business Name): SOUTH CAROLINA RESEARCH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 PARKWAY COMMONS WAY
GREER SC
29650-5213
US

IV. Provider business mailing address

68 PARKWAY COMMONS WAY
GREER SC
29650-5213
US

V. Phone/Fax

Practice location:
  • Phone: 864-877-5688
  • Fax:
Mailing address:
  • Phone: 864-877-5688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number27855
License Number StateSC

VIII. Authorized Official

Name: DR. SERGIO ALFREDO SANCHEZ
Title or Position: CEO
Credential: M.D.
Phone: 864-877-5688